Individual
DR. MITCHELL S GARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
044118
CT
207X00000X
Orthopaedic Surgery Physician
Primary
044118
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
044118
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000038402
GHI HMO #
NY
05
—
01694311
—
NY
01
—
0599833
GHI PPO #
NY
01
—
141796305
TAX IDENTIFICATION #
NY
01
—
2071599
AETNA HMO #
NY
01
—
5724688
AETNA PPO #
NY
01
—
691155
MVP PROVIDER #
NY
01
—
P958616
OXFORD PROVIDER #
NY
Enumeration date
05/31/2005
Last updated
08/30/2024
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